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Urology  (Expert Forum)
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Help I'm 29 and this should not be happening...
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.

Help I'm 29 and this should not be happening...

by Mkwelbornjr, Nov 29, 2005 12:00AM
I am 29 and have been taking propecia for almost a year and a half.  I have noticed these things...are they in my mind or caused by propecia??

1) lack of interest in sex most of the time where it used to be the other way around.

2) all the sexual systems work but orgasm doesnt always feel pleasurable and I often feel too lazy to masterbute whereas I used to have the urge to do that.  In other words I feel lethargic when it comes to sex and totally have been avoiding it out of lack of interest.  

3) Also watery semen.

4) testicles smaller

5) slight breast enlargement...and pain in the breast area

6) ache in the testicals now and then.



Should I stop taking Propecia?  Or do I have some hormone deficiency as I cant say for sure that Propecia is the cause.  My sex drive decreased before I started taking it.  My libido began to decrease when I came home from living at school for 3 years.

by Kevin Pho, MD, Nov 30, 2005 12:00AM
Propecia works by lowering the testosterone levels, and this can lead to some of the symptoms you are describing.  However, the dose of this medication is so small that low testosterone levels are quite rare.  



Before stopping the medication, I would discuss this with your personal physician.



Obtaining serum testosterone levels, as well as checking the thyroid levels would be advisable.  



Regarding the testicular pain, you can consider a scrotal ultrasound to evaluate the anatomy.  



These options can be discussed with your personal physician.



Followup with your personal physician is essential.



This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.



Kevin, M.D.

kevinmd_b
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by Sean01, Jan 13, 2006 12:00AM
To: Sexual Problem
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